eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Ganglion Cyst: Workup
Updated: Aug 10, 2009
Workup
Imaging Studies
Although a plain radiograph will provide visualization of the cyst, it can identify bony abnormalities that may be causing the symptoms or may contraindicate treatment. In older adults, degenerative joint disease may accompany the cyst at the scaphotrapeziotrapezoid joint and can be confirmed by the plain radiograph. Magnetic resonance imaging, ultrasonography, or arthroscopic imaging may prove useful in obtaining confirmation of clinical diagnostic findings.2,8,10
Other Tests
An Allen test should be performed when cysts are located near the radial artery, including most volar wrist ganglia. Ultrasonography is an inexpensive and noninvasive method of assessing the soft tissue.
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Workup: Ganglion Cyst |
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References
Lin SJ, Dumanian G. Hand, Benign Tumors. eMedicine [serial online]. February 2, 2009;1. Available from: www.emedicine.com. Accessed June 11, 2009. Available at http://emedicine.medscape.com/article/1286448-overview.
Thornburg LE. Ganglions of the hand and wrist. J Am Acad Orthop Surg. Jul-Aug 1999;7(4):231-8. [Medline].
Soren A. Pathogenesis and treatment of ganglion. Clin Orthop Relat Res. Sep-Oct 1966;48:173-9. [Medline].
Chloros GD, Wiesler ER, Poehling GG. Current concepts in wrist arthroscopy. Arthroscopy. Mar 2008;24(3):343-54. [Medline].
Edwards SG, Johansen JA. Prospective outcomes and associations of wrist ganglion cysts resected arthroscopically. J Hand Surg Am. Mar 2009;34(3):395-400. [Medline].
Rocchi L, Canal A, Fanfani F, Catalano F. Articular ganglia of the volar aspect of the wrist: arthroscopic resection compared with open excision. A prospective randomised study. Scand J Plast Reconstr Surg Hand Surg. 2008;42(5):253-9. [Medline].
Rizzo M, Berger RA, Steinmann SP, Bishop AT. Arthroscopic resection in the management of dorsal wrist ganglions: results with a minimum 2-year follow-up period. J Hand Surg Am. Jan 2004;29(1):59-62. [Medline].
Plate AM, Lee SJ, Steiner G, Posner MA. Tumorlike lesions and benign tumors of the hand and wrist. J Am Acad Orthop Surg. Mar-Apr 2003;11(2):129-41. [Medline].
Sanders WE. The occult dorsal carpal ganglion. J Hand Surg [Br]. Jun 1985;10(2):257-60. [Medline].
Wang G, Jacobson JA, Feng FY, Girish G, Caoili EM, Brandon C. Sonography of wrist ganglion cysts: variable and noncystic appearances. J Ultrasound Med. Oct 2007;26(10):1323-8; quiz 1330-1. [Medline].
Further Reading
Related eMedicine topics
Ganglions
Ganglioneuroma and Ganglioneuroblastoma
Digital Mucous Cyst
Mucous Cyst
Keywords
ganglion cyst, ganglia, ganglions, hand cyst, hand tumor, wrist tumor, soft tissue tumor of the hand and wrist, mucous cyst, dorsal wrist ganglion, volar wrist ganglion, volar retinacular ganglion, distal interphalangeal ganglion, wrist cyst, mucin, ganglionectomy
Workup: Ganglion Cyst